Skip to main content

Artificial Urinary (AUS) and Anal (AAS) Sphincter

  • Chapter
  • First Online:
Complications of Surgery for Male Urinary and Fecal Incontinence

Abstract

Artificial urinary sphincter (AUS) is the only mechanical device that closely simulates the function of a biological urinary sphincter. Over the past four decades, advances in mechanical design, applications of new technology and lessons learned from clinical experience have made the AMS 800 device the standard of care in post-prostatectomy urinary incontinence.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Lamb AD, Pujol L, Nair R, Geurts N, Murphy D.G, Moon DA. Artificial urinary sphincter step-by-step. Video, E.A.U.; 2012.

    Google Scholar 

  2. Zephyr Surgical Implant Sarl, Geneva, Switzerland: ZSI 375 Video for training artificial urinary sphincter. 2012 October.

    Google Scholar 

  3. Chung E. Contemporary surgical devices for male stress urinary incontinence: a review of technological advances in current continence surgery. Transl Androl Urol. 2017;6(suppl 2):112–21.

    Article  Google Scholar 

  4. Ostrowski I, Ciechan J, Sledz E, Dys W, Golabek T, Chłosta PL. Four-year follow-up on a ZSI 375 artificial urinary sphincter for male urinary incontinence from one urological centre in Poland. Cent Eur J Urol. 2018;71:320–5.

    Google Scholar 

  5. Llorens C, Pottek P. Urinary artificial sphincter ZSI 375 for treatment of stress urinary incontinence in men: 5 and 7 years follow-up report. Urologia. 2017;84(4):263–6.

    Article  Google Scholar 

  6. Carvajal Obando A, Gavira Gil F, et al. Efficacy of the Artificial Urinary Sphincter ZSI 375 for treatment of post-radical prostatectomy incontinence in patients with intrinsic sphincter deficiency : a preliminary study. EMJ. 2017;2(2):22–6.

    Google Scholar 

  7. Staerman F, Llorens C, et al. ZSI 375 artificial urinary sphincter for male urinary incontinence: a preliminary study. BJU Int. 2013;111(4):202–6.

    Article  Google Scholar 

  8. Christiansen J, Rasmussen OO, Lindorff-Larsen K. Long-term results of artificial anal sphincter implantation for severe anal incontinence. Ann Surg. 1999;230:45–8.

    Article  CAS  Google Scholar 

  9. Wang M-H, Zhou Y, Zhao S, Luo Y. Challenges faced in the clinical application of artificial anal sphincters. J Zhejiang Univ-Sci B. 2015;16(9):733–42.

    Article  Google Scholar 

  10. Müller C, Belyaev O, Deska T, Chromik A, Weyhe D, Uhl W. Fecal incontinence: an up-to-date critical overview of surgical treatment options. Langenbeck’s Arch Surg. 2005;390:544–52.

    Article  Google Scholar 

  11. Belyaev O, Muller C, Uhl W. Neosphincter surgery for fecal incontinence: a critical and unbiased review of the relevant literature. Surg Today. 2006;36:295–303.

    Article  Google Scholar 

  12. Mundy L, Merlin TL, Maddern GJ, Hiller JE. Systematic review of safety and effectiveness of an artificial bowel sphincter for faecal incontinence. Br J Surg. 2004;91:665–72.

    Article  CAS  Google Scholar 

  13. Melenhorst J, Koch SM, van Gemert WM, Baeten CG. The artificial bowel sphincter for faecal incontinence: a single centre study. Int J Color Dis. 2008;23:107–11.

    Article  Google Scholar 

  14. Dodi G, Melega E, Masin A, Infantino A, Cavallari F, Lise M. Artificial bowel sphincter (abs) for severe faecal incontinence: a clinical and manometric study. Color Dis. 2000;2:207–11.

    Article  CAS  Google Scholar 

  15. Melega E, Dodi G, Masin A, Marchesin R, Lise M. Lo sfintere anale artificiale nel trattamento dell’incontinenza fecale grave. UCP News. 1999;3(S. 2):49–50.

    Google Scholar 

  16. Altomare DF, Binda GA, Dodi G, La Torre F, Romano G, Rinaldi M, Melega E. Disappointing long-term results of the artificial anal sphincter for faecal incontinence. Br J Surg. 2004;91:1352–3.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Salvatore Siracusano .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Siracusano, S., Fondacaro, L., Melega, E. (2020). Artificial Urinary (AUS) and Anal (AAS) Sphincter. In: Siracusano, S., Dodi, G., Pennisi, M., Gozzi, C., Pastore, A., Cerruto, M. (eds) Complications of Surgery for Male Urinary and Fecal Incontinence. Urodynamics, Neurourology and Pelvic Floor Dysfunctions. Springer, Cham. https://doi.org/10.1007/978-3-319-98264-9_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-98264-9_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98263-2

  • Online ISBN: 978-3-319-98264-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics